| Doctor Name: | DR. DAVID POTASH |
| NPI Number: | 1033141379 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | SC003138L |
| Business Practice Address: | 150 S Pennsylvania Ave Wilkes Barre, PA - 187013301 |
| Business Phone Number: | 5708247361 |
| Business Fax Number: | 5708249852 |
| Mailing Address: | 150 S Pennsylvania Ave, WILKES BARRE |
| State: | PA |
| Postal Code: | 187013301 |
| Phone Number: | 5708247361 |
| Fax Number: | 5708249852 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 12/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | SC003138L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |